Medical Claims Clinical Auditor

Reference: PE -RW-1 Our client operating in the medical insurance space is seeking a Medical Claims Clinical Auditor to join their team based in Port Elizabeth - on a 6 month fixed term contract. Nursing Diploma or Degree essential!EE candidate preference. An awesome career opportunity awaits! Duties & Responsibilities Role Purpose The purpose of this...

A healthcare provider in Gqeberha is seeking a Professional Nurse: Clinical Auditor to ensure timely and accurate hospital claims auditing. The role requires a National Senior Certificate, a Nursing Diploma or Degree, SANC registration, and 1-2 years of nursing experience. This full-time position demands proficiency in MS 365 and offers a chance to build...

Professional Nurse: Clinical Auditor MMH -2 Join to apply for the Professional Nurse: Clinical Auditor MMH -2 role at Momentum . Role Purpose To ensure hospital claims are audited timeously and accurately with the focus on reducing wastage and abuse, as well as to ensure that claims are processed according to authorisations. Requirements A National Senior...

Professional Nurse: Clinical Auditor MMH -2 Join to apply for the Professional Nurse: Clinical Auditor MMH -2 role at Momentum . Role Purpose To ensure hospital claims are audited timeously and accurately with the focus on reducing wastage and abuse, as well as to ensure that claims are processed according to authorisations. Requirements A National Senior...

Professional Nurse: Clinical Auditor, with private hospital nursing background.

A financial services provider is seeking a Claims Team member in Gqeberha. You will ensure the accurate insertion and assessment of claims, while meeting performance indicators and service level agreements. Candidates should hold a National Senior Certificate and have at least 1 year of administrative experience, ideally in a medical scheme setting....

Role Purpose To effectively contribute to the Claims Team, ensuring that the Team’s key performance indicators and the Schemes’ service level agreements are met by accurately inserting and assessing claims according to protocol. Requirements It is essential to have a National Senior Certificate (Bachelor's pass with Mathematics or Mathematical Literacy...

A leading financial services provider is seeking a Mid-Senior level professional to lead and oversee specialised medical scheme claims administration in Gqeberha. The role involves ensuring adherence to governance, boosting team performance, and delivering efficient client-focused service. Ideal candidates should have a Matric certificate, a relevant...

A leading medical administration company in Gqeberha seeks a qualified individual to oversee specialized claims administration processes. The role requires strong leadership, compliance management, and a solid background in medical scheme dealings. The ideal candidate has 3-5 years of relevant experience and is capable of fostering a high-performance team...

This is an exciting role to become a part of our growing TAVI team and contribute to the Global expansion programme while providing the very best support to our Clinicians and Patients.In the role of the TAVI Field Clinical Specialist you will develop clinical education materials in connection with clinical investigations. Provide expertise and clinical...